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WA2026-04-14

Inquest into the Death of Wayne HARRIS

56y · Male·complications of advanced metastatic sigmoid adenocarcinoma in an adult man with…

A 56-year-old Aboriginal man died of advanced metastatic sigmoid adenocarcinoma while serving an 11-year sentence for child sex offences. He had been diagnosed with Stage 4 colorectal cancer in 2018 with an expected life…

oncologypalliative carecommunicationsystemchemotherapy
WAhospital2026-04-01

Inquest into the Death of David John HATCHER

60y · Male·Pulmonary tuberculosis in a man with chronic obstructive pulmonary disease, with…

David John Hatcher, aged 60, was a remand prisoner at Hakea who died at Fiona Stanley Hospital on 27 September 2024 from pulmonary tuberculosis superimposed on severe chronic obstructive pulmonary disease. He was hospita…

respiratory medicineinfectious diseasesproceduralsystem
WAcommunity2026-03-30

Inquest into the Deaths of Terry James CZERNOWSKI and Lachlan Richard Francis BOWLES

25y · Male·Gunshot injury to the head (Lachlan); gunshot injuries to head and chest (Terry)

On 7 September 2023, 25-year-old Lachlan Richard Francis Bowles shot his 44-year-old workmate Terry James Czernowski at Moylan Grain Silos in Kellerberrin, causing Terry's death from gunshot injuries to the head and ches…

cannabis
WAhospital2026-03-26

Inquest into the Death of Sandipan DHAR

1y · Male·Complications of acute lymphoblastic leukaemia

Sandipan Dhar, 21 months old, died from undiagnosed acute lymphoblastic leukaemia (ALL) complicated by sepsis and pneumonia on 24 March 2024. After three weeks of intermittent fever, he attended his GP three times and wa…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
WA2026-03-26

Inquest into the Death of Brian John KEALY

42y · Male·Ligature compression of the neck (hanging)

Brian Kealy, aged 42, died by suicide via hanging at Hakea Prison on 2 August 2024 while on remand. He had complex mental health needs including probable schizophrenia, anti-social personality disorder, and polysubstance…

psychiatrygeneral medicinecommunicationsystemolanzapine
WAcommunity2026-03-13

Inquest into the Suspected Death of PARBHAT

24y · Male·unknown cause

Parbhat was a 24-year-old Indian international student and worker who disappeared at The Gap in Torndirrup National Park, Albany, WA on 5 August 2024. After moving to Perth in 2021, his circumstances deteriorated followi…

alcohol
WA2026-03-09

Inquest into the Death of Russell Graham PENNY

56y · Male·complications of viral hepatitis related advanced-chronic liver disease

Russell Graham Penny, 56, a Noongar man, died from advanced liver disease with hepatocellular carcinoma while in prison custody. With chronic hepatitis C from intravenous drug use, Russell had developed cirrhosis and was…

correctional healthgeneral medicinesystemcommunication
WAhome2026-02-23

Inquest into the Death of Child MML

11y · Male·Bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…

Child MML was an Aboriginal boy born in April 2010 who suffered catastrophic abusive head trauma at eight months old in December 2010, causing severe lifelong neurological impairment including cerebral palsy, uncontrolle…

neurologypaediatricscommunicationsystem
WAcommunity2026-02-19

Inquest into the Suspected Death of Barry John PODMORE

73y · Male·Unascertained

Barry John Podmore, aged 73, disappeared on 6 December 2024 while prospecting in remote bushland between Karroun Hill Nature Reserve and Mount Jackson, Western Australia. Despite extensive searches by police, family, and…

WAcommunity2026-02-18

Inquest into the Death of Bailey Bryan BURNS

23y · Male·Multiple injuries from motor vehicle crash

Bailey Bryan Burns, aged 23, died on 7 September 2024 when the vehicle he was driving struck a tree on Canning Highway near Attadale, Western Australia. He was travelling at approximately 150 km/h in a 60 km/h zone on we…

alcohol
WA2026-02-13

Inquest into the suspected death of Frederick Richard WINSLOW

56y · Male·Unascertained—likely injuries from motor vehicle crash, but may have resulted fr…

Frederick Richard Winslow, aged 56, a British immigrant, disappeared on 28 November 1974 while driving from Darwin to Wyndham, Western Australia. His crashed Holden station wagon was discovered at Golden Gate Cutting on …

WAcommunity2026-02-02

Inquest into the Death of Joshua Fredrik VAN MALSSEN

24y · Male·Cardiac arrest in a man with Sotos syndrome and multiple comorbidities, includin…

Joshua Fredrik Van Malssen, 24, with Sotos syndrome, dilated cardiomyopathy, asthma, and WHO class III obesity (BMI 40.6) died from cardiac arrest on 16 June 2023 after being restrained in prone position by PTA transit o…

communicationproceduralalcohol
WAhome2026-01-23

Inquest into the Death of Sean Theo WINMAR (Mr STW)

46y · Male·Complications of ligature compression of the neck (hanging)

Sean Theo Winmar, a 46-year-old Aboriginal man, died by suicide on 11 August 2022 while on an interim supervision order after his release from prison. He had depression, substance use disorder, and chronic suicidal ideat…

general practiceaddiction medicinesystemdelaymethamphetamine
WAcommunity2026-01-08

Inquest into the Suspected Death of John Howitson FRYLINCK

70y · Male·Unascertained; likely exposure, possibly natural causes secondary to medical epi…

John Howitson Frylinck, a 70-year-old man with Alzheimer's disease and poorly controlled type 2 diabetes, disappeared while walking at Mundaring Sculpture Park on the evening of 18 January 2024. He became disoriented in …

donepezil
WA2026-01-08

Inquest into the Death of Lewis Walter WARD

Male·out-of-hospital cardiac arrest due to atherosclerotic cardiovascular disease and…

Lewis Walter Ward, a Ngarinyin man in his early thirties, died from out-of-hospital cardiac arrest while playing sport at West Kimberley Regional Prison. He had Type 2 diabetes, hypertension, dyslipidaemia, and was a smo…

cardiologyemergency medicinediagnosticsystem
WAhospital2025-12-23

Inquest into the Death of Karl Albert STEINHAUSER

30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…

Karl Steinhauser, a 30-year-old man with schizoaffective disorder and polysubstance misuse, died from pulmonary thromboembolism on 12 March 2023 while under Mental Health Act care. After two weeks of increasingly challen…

psychiatryintensive caresystemdelayaripiprazole depot
WAhome2025-12-22

Inquest into the Death of Child LK (Name Subject to Suppression Order)

14y · Male·epilepsy in a boy with Influenza B and COVID-19 infections

Child LK was a 14-year-old Aboriginal boy in state care who died suddenly on 24 August 2023 from an unwitnessed epileptic seizure precipitated by concurrent Influenza B and COVID-19 infections. He had been diagnosed with…

paediatricsemergency medicinecommunicationsodium valproate
WA2025-12-17

Inquest into the Death of Child RK (Name Subject to Suppression Order)

14y · Female·ligature compression of the neck (hanging)

Child RK, aged 14, died by suicide while in Department of Communities care at a therapeutic residential group home on 20 April 2022. She had Complex PTSD from childhood trauma and presented multiple times to emergency de…

paediatricsgeneral practicecommunicationsystemmelatonin
WA2025-12-17

Inquest into the Death of Jamie Frederick GINN

50y · Male·cocaine toxicity

Jamie Frederick Ginn, 50, died from cocaine toxicity on 10 October 2023 while in custody at Perth Watch House (PWH). He had ingested approximately one teaspoon of cocaine hydrochloride; the coroner could not determine wh…

systemcocaine
WAcommunity2025-12-09

Inquest into the Suspected Death of Eric Donald BRANDRICK

47y · Male·unascertained

Eric Donald Brandrick, aged 47, disappeared from his home in North Fremantle, Western Australia, after 31 December 1989. He had suffered a severe stroke in September 1988 causing left-sided paralysis, visual impairment, …

emergency medicinegeneral medicine

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